Individual
GUNNAR WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Mailing address
3038 REDBUD CIR, AMES, IA 50014-4518
(515) 708-4940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
03/17/2021
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